Individual
ANN KACZMAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
66 RED ROCK RD, BRADFORD, PA 16701-3451
(814) 362-3076
Mailing address
66 RED ROCK RD, BRADFORD, PA 16701-3451
(814) 362-3076
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN274663L
PA
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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